ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2022, Vol. 14 ›› Issue (3): 246-250.

• 小儿中药应用研究 • 上一篇    下一篇

基于数据挖掘技术分析中医药治疗小儿便秘用药规律

  

  • 出版日期:2022-06-25 上线日期:2023-12-01

Analyzing the medication rules of traditional Chinese medicine treatment for constipation in children based on data mining technology

  • Published:2022-06-25 Online:2023-12-01

摘要: 目的 借助数据挖掘技术初步探讨近年来小儿便秘的用药规律。方法 检索2009~2019年中国知网、万方、维普数据库中关于中药治疗小儿便秘的研究,筛选符合纳入标准的文献,建立Excel数据库,对药物使用、性味及功效进行频数统计及关联规则分析。结果 共计175首方剂,中药163味,共计频次1 894次。火麻仁、枳实、甘草、地黄、白术等十味药物为最常用药物。药物类别以补虚药为主;最常见药对为乌药-木香,玄参-麦冬,乌药-槟榔,玄参-地黄,麦冬-玄参,麦冬-地黄。三项关联中,麦冬、郁李仁→玄参,玄参、枳壳→地黄,麦冬、杏仁→火麻仁置信度最高。无论是药对或3味药物组合,显示行气药与行气药、滋阴药与滋阴药之间存在较大的关联性。结论 中药治疗小儿便秘疗效肯定,以标本兼治为原则;注重健脾补虚、理气运脾、泻下清热、导滞消积;临床治疗需重视“气”与“津”的指导意义。

关键词:

便秘, 数据挖掘, 用药规律, 儿童

Abstract:

ObjectiveTo preliminary explore the traditional Chinese medicine(TCM) medication rules for constipation in children by means of data mining technology.MethodsThe researches in the treatment of constipation in children with traditional Chinese medicine were retrieved in CNKIWanfang and VIP database from 2009 to 2019.All literatures that met the inclusion criteria were screened out.Excel database was establishedthe frequency of drug usethe taste and efficacy were analyzed by association rule.ResultsA total of 175 prescriptions were selectedinvolving 163 herbswith a total frequency of 1 894 times.The top ten herbs in terms of frequency included:hemp seedFructus aurantiiGlycyrrhizae radix et rhizomaRehmannia glutinosa Libosch and Atractylodes macrocephalaetc.The herbs tonifying deficiency accounted for the major part.The most common drug pairs were Linderae radix and Aucklandia radixScrophulariae radix and Ophiopogon japonicusLinderae radix and areca seed etc.In the three associationsOphiopogon japonicusPruni semenScrophulariae radix;Scrophulariae radixFructus aurantiiRehmanniae radix;Ophiopogon japonicusArmeniacae semen amarumhemp seed were with the highest confidence coefficient.Whether it was drug pair or three-drug combinationthere was close correlation between Qi-regulating drugs and Qi-regulating drugsas well as between Yin-nourishing drugs and Yin-nourishing drugs.ConclusionTCM treatment for constipation in children has definite therapeutic effectwith the principle of treating both symptoms and root causes;attention is paid to invigorating the spleen and replenishing deficiencyregulating Qi and activating the spleenrelieving heat and removing stagnation.The guiding significance of Qiand body fluidshould be emphasized in clinical treatment.

Key words:

Constipation, Data mining, Medication rules, Child